Jerdee, Theodore Joseph

Jerdee, Theodore Joseph is an individual health care provider with primary practice located at 101 Bodin Cir 60 Mdg/Sgqx, Travis Afb CA 94535-1809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Jerdee, Theodore Joseph can be contacted via phone (707) 423-7182.

Contact Information

Primary practice address
101 Bodin Cir 60 Mdg/Sgqx Travis Afb CA 94535-1809
Phone: (707) 423-7182
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C53747 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X 22461 Oklahoma

Profile Details

NPI number 1104806397
LBN Legal business name Jerdee, Theodore Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 25th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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